| NPI | 1417447566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-00550) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2024-00550) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-07-24 |